Les interventions psychologiques dans la prise en charge du TDAH chez l’adulte

IF 0.5 4区医学 Q4 PSYCHIATRY

Annales medico-psychologiques Pub Date : 2025-03-01 DOI:10.1016/j.amp.2024.06.010

Maëva Roulin , François Radiguer , Sébastien Henrard , Johanna Guinet , Sophie Bayard

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引用次数: 0

Abstract

Managing difficulties for people suffering from attention deficit hyperactivity disorder (ADHD) is a complex task that goes beyond the application of pharmacotherapy alone. Although stimulant medications are frequently used to treat the core symptoms of ADHD, they are not always sufficient to manage other important aspects of this disorder. The aim of this study is to complete the systematic review carried out in 2017 by the Cochrane Database of Systematic Reviews concerning psychological approaches to ADHD. To do this, we analyzed data published since 2017 in PubMed, Embase, PsycInfo and MEDLINE databases. We grouped our data by type of approach to highlight the most effective therapies for improving behavioral and functional symptoms associated with ADHD. The data collected highlights that cognitive-behavioral therapy (CBT), mindfulness-based cognitive therapy (MBCT) and psychoeducation are particularly effective, providing short-term benefits by reducing ADHD symptoms and improving associated disorders such as depression and anxiety. We conclude that there is significant evidence to support the use of specific psychological approaches in the management of ADHD in adults. Future research should examine more rigorously the lack of methodology and further integrate transdiagnostic approaches to psychopathology.

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治疗成人多动症的心理干预措施

管理注意力缺陷多动障碍（ADHD）患者的困难是一项复杂的任务，不仅仅是药物治疗的应用。虽然兴奋剂药物经常用于治疗多动症的核心症状，但它们并不总是足以控制这种疾病的其他重要方面。本研究的目的是完成2017年由Cochrane系统评价数据库进行的关于ADHD心理学方法的系统评价。为此，我们分析了自2017年以来在PubMed、Embase、PsycInfo和MEDLINE数据库中发布的数据。我们将数据按方法类型分组，以突出最有效的治疗方法，以改善与ADHD相关的行为和功能症状。收集到的数据强调，认知行为疗法（CBT）、基于正念的认知疗法（MBCT）和心理教育特别有效，通过减少多动症症状和改善抑郁和焦虑等相关疾病，提供短期效益。我们的结论是，有重要的证据支持在成人ADHD管理中使用特定的心理学方法。未来的研究应该更严格地检查缺乏方法学，并进一步整合精神病理学的跨诊断方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annales medico-psychologiques 医学-精神病学

CiteScore

1.30

自引率

33.30%

发文量

196

审稿时长

4-8 weeks

期刊介绍： The Annales Médico-Psychologiques is a peer-reviewed medical journal covering the field of psychiatry. Articles are published in French or in English. The journal was established in 1843 and is published by Elsevier on behalf of the Société Médico-Psychologique. The journal publishes 10 times a year original articles covering biological, genetic, psychological, forensic and cultural issues relevant to the diagnosis and treatment of mental illness, as well as peer reviewed articles that have been presented and discussed during meetings of the Société Médico-Psychologique.To report on the major currents of thought of contemporary psychiatry, and to publish clinical and biological research of international standard, these are the aims of the Annales Médico-Psychologiques.